Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $613.10 / $804.80	Facility		$45.00	$613.10	$804.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $750.00	Professional		$33.81	$45.00	$750.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.50 / $535.60 / $597.40	Professional		$463.50	$535.60	$597.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $567.00 / $765.00	Professional		$405.00	$567.00	$765.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.05 / $535.50 / $870.00	Professional		$281.05	$535.50	$870.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $382.50 / $450.00	Professional		$382.50	$382.50	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.57 / $269.52 / $297.27	Professional		$260.57	$269.52	$297.27
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $58.35 / $79.16	Professional		$42.00	$58.35	$79.16